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Senile disciform macular degeneration in the second eye
The British Journal of Ophthalmology
|February 1, 1977
Summary
Senile disciform degeneration can affect the second eye in 12-15% of patients annually. Large drusen and dye accumulation on fluorescein angiography increase the risk of developing this condition in the fellow eye.
Area of Science:
- Ophthalmology
- Retinal Diseases
Background:
- Senile disciform degeneration is a significant cause of vision loss.
- Understanding fellow eye involvement is crucial for patient management.
Purpose of the Study:
- To investigate the incidence and risk factors for senile disciform degeneration in the fellow eye.
- To identify patient subgroups at higher risk.
Main Methods:
- A longitudinal study of 104 patients with senile disciform degeneration.
- Follow-up period of up to five years.
- Assessment of drusen characteristics and fluorescein angiogram findings.
Main Results:
- An annual incidence of 12-15% for fellow eye involvement was observed.
- Large and confluent drusen were associated with increased risk.
- Dye accumulation on fluorescein angiography further elevated the risk.
Conclusions:
- Fellow eye development of senile disciform degeneration is common.
- Ophthalmic imaging, particularly fluorescein angiography, aids in risk stratification.
- Early detection and monitoring are vital for patients with risk factors.